This article aims to overcome the challenges faced by traditional elderly care services in China and discuss the development opportunities of smart elderly care services in urban and rural areas. Additionally, seek feasible countermeasures based on the basic ideas of smart elderly care to promote the transformation of urban and rural elderly care services to smart and intelligent. Therefore, we can bridge the gap between urban and rural areas, break the urban-rural dual structure, and encourage cities and villages to share the benefits of reform and development.